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RAJ Kumar Raj

@rajkumarraj

TPA Executive at S.R Kalla Memorial Hospital processing medical billing and claims across insurance and government health schemes.

India
Message

At S.R Kalla Memorial Hospital, I process inpatient and outpatient medical billing, coding, and TPA claim settlements for insurance and government health schemes. I also maintain electronic patient records and coordinate workflows between clinical and administrative departments.

Previously, at Jaipur Doorbeen Hospital, I managed patient admission-to-discharge documentation and billing, processed insurance claims, and resolved settlement issues with TPA providers. At Global Heart and General Hospital, I handled OPD patient records and administrative data, and at Indus Jaipur Hospital, I supported front-office operations and patient queries.

Experience

Work history, roles, and key accomplishments

SH
Current

TPA Executive & Administration

S.R Kalla Memorial Hospital

Dec 2025 - Present (10 months)

Process and manage inpatient and outpatient medical billing, coding, and TPA claim settlements for various insurance and government health schemes. Maintain and update electronic patient records with 100% accuracy and strict adherence to hospital protocols.

Education

Degrees, certifications, and relevant coursework

OU

OUTSKILLS

Generative AI Mastermind Certification, Generative AI

2025 - 2025

Completed a certification in Generative AI Mastermind.

Rajasthan Board of Secondary Education logoRE

Rajasthan Board of Secondary Education

12th Standard, General Studies

Completed 12th standard education.

Vardhman Mahaveer Open University logoVU

Vardhman Mahaveer Open University

RS-CIT Certification, Information Technology

2018 - 2018

Completed the RS-CIT certification.

Rajasthan Board of Secondary Education logoRE

Rajasthan Board of Secondary Education

10th Standard, General Studies

Completed 10th standard education.

Rajasthan University logoRU

Rajasthan University

Bachelor of Commerce, Commerce

Pursued a Bachelor of Commerce degree.

Tech stack

Software and tools used professionally

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